PARENTAL AGREEMENT WITH BEFORE/AFTER SCHOOL CARE PROGRAM AND MEDICAL AUTHORIZATION
1. Should my child, suffer an injury or illness while in the care of Shoal Creek Adventist School After Care, and administration is unable to contact me immediately, SCAS shall be authorized to secure such medical attention and care for my child as may be necessary including the utilization of 911 services. I shall assume responsibility for payment of services.
2. I agree to keep the facility informed of changes in telephone numbers, etc. where I can be reached. I acknowledge it is my responsibility to keep my child’s records current.
3. No medication will be dispensed to my child.
4. The facility agrees to keep me informed of any incidents, including illnesses, injuries, adverse reactions to medication, etc., that involves my child.
5. Parents are requested to wait until their child is checked in at the door before leaving in the morning. Students must be signed out by a parent/guardian before being dismissed in the evening.
6. I have read the Before/After School Care Policy and hereby agree to comply with the rules and regulations of the Shoal Creek Adventist School Before/After School Care program regarding, but not limited to fees, attendance policy, health, discipline, snacks and other items specified in the Policies and Procedures.

Primary Guardian *

Primary Guardian

First Name

Last Name

Secondary Guardian

Secondary Guardian

First Name

Last Name

Thank you!

Before & After Care Policies

Before/After Care Program Fees 2018-2019

Payment for students enrolled in the Shoal Creek Before/After Care Program is made through FACTS (link to resource page). It is the parent/guardian’s responsibility to direct FACTS to withdraw funds to maintain an adequate available balance to pay for Before and/or After Care as needed.

Late Fees*** After 6:00 p.m. Monday-Thursday, and 5:00 p.m. on Friday, there will be a late fee of $1.00 per minute fee ****, unless prior arrangements have been made. If fees are not paid timely, the student will be dropped from the Before/After Care program. Students are subject to late fees 15 minutes after dismissal on days when aftercare is not provided.